Racial and ethnic differences in patient assessments of interactions with providers: disparities or measurement biases?

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Elizabeth DaytonErnest Moy

Abstract

Patient assessment surveys have established a primary role in health care quality measurement as evidence has shown that information from patients can affect quality improvement for practitioners and lead to positive marketwide changes. This article presents findings from the recently released National Healthcare Disparities Report revealing that although most clinical quality and access indicators show superior health care for non-Hispanic whites compared with blacks and Hispanics, blacks and Hispanics assess their interactions with providers more positively than non-Hispanic whites do. The article explores possible explanations for these racial/ethnic differences, including potential pitfalls in survey design that draw biased responses by race/ethnicity. The article then suggests strategies for refining future research on racial/ethnic disparities based on patient assessment of health care.

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Citations

Oct 12, 2012·Journal of Immigrant and Minority Health·Memoona HasnainUNKNOWN UIC Experiences of Care Project Group
Apr 17, 2008·Journal of General Internal Medicine·Leroi S HicksPaula A Johnson
Apr 1, 2009·Arthritis and Rheumatism·Florina ConstantinescuLiana Fraenkel
Jan 21, 2016·Annual Review of Public Health·Kevin Fiscella, Mechelle R Sanders
Apr 17, 2015·Journal of General Internal Medicine·Jaya AysolaJudy A Shea
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Mar 3, 2010·Journal of General Internal Medicine·Carlton HaywoodMary Catherine Beach
Jan 12, 2021·Medical Care·Matthew CefaluRon D Hays

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